Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE NEIDEN LISW
NPI 1174037956
Social Worker - Clinical in Willoughby, OH

Active since December 01, 2017PECOS Enrolled
38886 MENTOR AVE, WILLOUGHBY, OH 44094(833) 510-4357(866) 460-2997 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 17, 2026, Jul 31, 2024, Dec 1, 2017 (3 updates tracked since 2017).

About Jacqueline Neiden Lisw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE NEIDEN LISW (NPI 1174037956) is an individual clinical provider in Willoughby, Ohio, licensed in Ohio (I.2608338) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1174037956
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELINE NEIDENCredential: LISW
Location Address38886 MENTOR AVEWilloughby, OH 44094-7875
Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600
Fax(866) 460-2997
Sole ProprietorYes
Enumeration DateDecember 1, 2017
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
NPI 1174037956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in OH · I.2608338
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
38886 MENTOR AVE, Willoughby, OH 44094

Secondary Practice Location 1

Location 13229 Rocky River DrCleveland, OH 44111-1089 · Phone (216) 252-5800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jacqueline Neiden Lisw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Practical Nurse
38886 MENTOR AVE
WILLOUGHBY, OH 44094
Counselor (Professional)
38886 MENTOR AVE
WILLOUGHBY, OH 44094
Licensed Practical Nurse
38886 MENTOR AVE
WILLOUGHBY, OH 44094
Nurse Practitioner (Family)
38886 MENTOR AVE
WILLOUGHBY, OH 44094
Counselor (Addiction (Substance Use Disorder))
38886 MENTOR AVE
WILLOUGHBY, OH 44094
Counselor (Addiction (Substance Use Disorder))
38886 MENTOR AVE
WILLOUGHBY, OH 44094
Social Worker
38886 MENTOR AVE
WILLOUGHBY, OH 44094
Nurse Practitioner (Family)
38886 MENTOR AVE
WILLOUGHBY, OH 44094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Neiden's NPI number?

The NPI number for Jacqueline Neiden is 1174037956. It was assigned to this individual provider in the NPPES registry on December 1, 2017.

Where is Jacqueline Neiden located?

Jacqueline Neiden practices at 38886 Mentor Ave, Willoughby, OH 44094. The listed phone number is (833) 510-4357.

What is Jacqueline Neiden's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jacqueline Neiden enrolled in Medicare?

Yes. Jacqueline Neiden is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Neiden accept?

Health plans from CareSource list Jacqueline Neiden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Neiden was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.